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Current Anesthesiology Reports

Erschienen in:

01.09.2018 | Neuroanesthesia (D Sharma, Section Editor)

An Update on Postoperative Delirium: Clinical Features, Neuropathogenesis, and Perioperative Management

verfasst von: Seyed A. Safavynia, Sona Arora, Kane O. Pryor, Paul S. García

Erschienen in: Current Anesthesiology Reports | Ausgabe 3/2018

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Abstract

Purpose of Review

We present a focused review on postoperative delirium for anesthesiologists, encompassing clinical features, neuropathogenesis, and clinical identification and management strategies based on risk factors and current delirium treatments.

Recent Findings

The literature on postoperative delirium is dominated by non-experimental studies. We review delirium phenotypes, diagnostic criteria, and present standard nomenclature based on current literature. Disruption of cortical integration of complex information (CICI) may provide a framework to understand the neuropathogenesis of postoperative delirium, as well as risk factors and clinical modifiers in the perioperative period. We further divide risk factors into patient factors, surgical factors, and medical/pharmacological factors, and present specific considerations for each in the preoperative, intraoperative, and postoperative periods.

Summary

Postoperative delirium is prevalent, poorly understood, and often missed with routine clinical care. Proper identification of risk factors is useful for perioperative interventions and can help tailor patient-specific management strategies.

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Titel: An Update on Postoperative Delirium: Clinical Features, Neuropathogenesis, and Perioperative Management
verfasst von: Seyed A. Safavynia
Sona Arora
Kane O. Pryor
Paul S. García
Publikationsdatum: 01.09.2018
Verlag: Springer US
Erschienen in: Current Anesthesiology Reports / Ausgabe 3/2018
Elektronische ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-018-0282-5

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An Update on Postoperative Delirium: Clinical Features, Neuropathogenesis, and Perioperative Management

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Purpose of Review

Recent Findings

Summary

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

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